Retroperitoneal hemorrhage and multiple bilateral renal angiomyolipomas

Case contributed by Dr Vaite Tsing

Presentation

Right flank pain for 2 days, limited history due to intellectual impairment

Patient Data

Age: 25 years
Gender: Male

Multiple bilateral renal angiomyolipomas. Large right retroperitoneal hemorrhage. Appearance suggestive of a pseudoaneurysm at the upper pole of the right kidney.

Case Discussion

This young man presented with a limited history due to intellectual impairment and suspected tuberous sclerosis. Haemodynamically-stable but in view of the suspected large pseudoaneurysm of the right upper renal pole, the decision was made to proceed to angioembolisation. He underwent successful embolization of the pseudoaneurysm with coils and a second large angiomyolipoma in the right lower pole was also selectively embolized with a 1:1 ethanol-Lipiodol mix and a coil.

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Case information

rID: 54784
Published: 8th Aug 2017
Last edited: 11th Feb 2020
System: Urogenital
Inclusion in quiz mode: Included

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